Skip to content

Medical, Chiropractic & Prescription Drug

The Employer-Union Health Benefits Trust Fund (EUTF) medical plans include prescription drug and chiropractic coverage. Employees are given a choice of medical plan options that vary in monthly premium cost and benefit plan design.

Employee Eligibility

To be eligible for EUTF health benefits, the employee must be employed in a position working 20 or more hours per week and for at least 3 months.

Dependent Eligibility

Coverage is available for:

  • The employee’s spouse, domestic partner or civil union partner (DP/CUP).
  • The employee or spouse’s/DP’s/CUP’s children under age 26. This includes children by birth, marriage (stepchild), or adoption or placement for adoption.
  • Coverage can be continued for an unmarried child, regardless of age, who is incapable of self-support due to mental/physical incapacity that existed prior to the child reaching age 19.

For more information on eligibility, please visit the EUTF website.

New employees have 45 days from the date of hire to enroll in health benefits. There is no waiting period – employees, spouses, civil union partners or domestic partners and dependents of employees are covered from the first day of employment, contingent on enrollment.

To Enroll

  1. Following your start date, you will receive a letter in the mail from the EUTF to register and enroll for EUTF coverage online via their Member Self-Service Portal by clicking here. If you don’t receive a letter within two weeks of your start date, please contact your departmental HR Representative.
  2. However, if you require immediate EUTF coverage before enrolling online in their Member Self-Service Portal, please contact your departmental HR Representative.
  3. If this is your first time enrolling dependents in EUTF plans, you must submit supporting proof documents. 
    1. Marriage certificate, Civil Union certificate, or Domestic Partnership forms
    2. Social security number
    3. Birth certificate for dependent children
    4. Student certification (if enrolling a dependent age 19 through 23 in dental and/or vision) from an accredited school on school letterhead with registrar’s signature confirming full-time status or certificate from the National Student Clearinghouse.

The following link provides instructions on how to register and enroll in/make changes to EUTF health benefits in the Member Self-Service Portal.

Note: If you do not enroll eligible family members within 45 days (180 days for newborns) from the time you or they first become eligible, you must wait until you experience a qualifying event or the next Open Enrollment period.

Current employees must meet enrollment deadlines based on qualifying events to make mid-year changes to their health insurance plan. The most common examples of qualifying life events include the birth of a child, change in marital status, disenroll due to enrollment in other coverage, loss of coverage, and going on a leave of absence. Refer to the life events page for specific deadlines, required supplemental documentation, and step-by-step instructional guides to make these changes via the Member Self-Service portal. If there is no qualifying event, changes can only occur during the Open Enrollment period. Open Enrollment is typically during April with coverage beginning on July 1. 

EUTF Member Self-Service Portal

The university offers seven health insurance options for employees. Medical plan types include Preferred Provider Organization (PPO) plans, Health Maintenance Organization (HMO) plans and a Supplemental plan.

Compare Plans

HMSA PPO & HMO

With an HMSA PPO plan, the name reflects the percentage breakdown between plan contribution and employee contribution. There are no deductibles for the 90/10 and 80/20 plan. See any provider in HMSA’s network. No referrals are needed to see a specialist. PPO plans work best for people who value choice.

With the HMO plan, you must pick a Primary Care Physician (PCP). Your PCP will refer you to specialists and other health care providers in your health center when you need it.

Kaiser Permanente HMO

There are no deductibles, just a copay or coinsurance for most services covered by your plan. No referrals are needed for certain specialties.

Supplemental Medical & Prescription Drug Plan

The EUTF supplemental plan is for active employee-participants who are primarily covered under a non-EUTF health plan through non-State/County employed spouse/partner or another source. Eligible medical and prescription drug expenses that are not covered by the primary medical plan such as copayments or coinsurance are paid under this plan.

To file a claim, submit the Online Reimbursement Request form.

To check the status of your claim, contact HMA’s Claims Customer Service Department at (808) 951-4643.

The University’s contribution towards the cost of your health care plans is negotiated through the collective bargaining process; the employee’s cost is the remaining portion of the health care plan’s monthly premiums.

Employees have the option of paying their health care plan premiums on a pre-tax or post-tax basis through payroll deduction.

Monthly Premium Rates

Effective July 1, 2023 through June 30, 2024

Effective July 1, 2024 through June 30, 2025

 

EUTF Premium Plan Comparison Tool

The federal Patient Protection and Affordable Care Act (ACA) expanded access to insurance, increased consumer protection, emphasized prevention and wellness, improved quality and system performance, expanded the health workforce, and curbed rising health care cost. Information about the ACA may be found in the Affordable Care Act Employee Notice.

ACA Reporting Requirements (HR only)

For Employees

Wellness Challenges and Webinars Monthly Health Topics

For HR Representatives

FAQs